In which condition should the nurse be vigilant with oxygen therapy during labor for the client?

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Oxygen therapy during labor is particularly crucial for clients with sickle cell anemia due to the underlying pathophysiology of the condition. Sickle cell anemia can lead to vaso-occlusive crises, where sickled red blood cells obstruct blood vessels, resulting in significant pain and compromised oxygen delivery to tissues. During labor, the body's oxygen demand increases, and any compromise in oxygen supply can exacerbate the situation for a client with this condition.

The risk of hypoxia is heightened during labor, as the stress of contractions and potential maternal hypovolemia can further reduce oxygenation. Therefore, maintaining adequate oxygen levels is critical to prevent complications such as maternal or fetal distress. Administering supplemental oxygen can help mitigate these risks and ensure that both the mother and fetus receive sufficient oxygen, supporting optimal outcomes during labor.

While the other conditions mentioned may require monitoring and care, they do not present the same immediate risks related to oxygenation that sickle cell anemia poses during labor.

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